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<html lang="zh-CN">
<head>
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	<title>督查信息上报</title>
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	$(document).ready(function(){
		
	});
	</script>
</head>
<body>

<h5 align="left" ></h5>
<div align="center">
	<div class="panel panel-default" style="width: 99%;" align="center">
		<div class="panel-heading">
        	<h4 class="panel-title" align="left"><b>督查管理  &gt;&gt; 督查上报 &gt;&gt; 事件责任人信息</b></h4>
      	</div>
      	<div class="panel-body" align="center">
			<form class="form-horizontal" role="form">
            	<fieldset>
                	<div class="form-group">
                		<label class="col-sm-1 control-label" for="ds_name"></label>
	                  	<label class="col-sm-2 control-label" for="ds_name">姓名</label>
	                  	<div class="col-sm-3">
							<input class="form-control input-sm" id="ds_name" type="text"/>
	                  	</div>
	                  	<label class="col-sm-2 control-label" for="ds_name">职务</label>
	                  	<div class="col-sm-3">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name"></label>
					</div>
					<div class="form-group">
						<label class="col-sm-1 control-label" for="ds_name"></label>
	                  	<label class="col-sm-2 control-label" for="ds_name">党纪处分</label>
	                  	<div class="col-sm-3">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
	                  	<label class="col-sm-2 control-label" for="ds_name">行政处分</label>
	                  	<div class="col-sm-3">
							<input class="form-control input-sm" id="ds_name" type="text"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name"></label>
					</div>
					<div class="form-group">
						<label class="col-sm-1 control-label" for="ds_name"></label>
	                  	<label class="col-sm-2 control-label" for="ds_name">网格长</label>
	                  	<div class="col-sm-3">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
	                  	<label class="col-sm-2 control-label" for="ds_name">下沉人员</label>
	                  	<div class="col-sm-3">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name"></label>
					</div>
            	</fieldset>
                <h5 align="left" ></h5>
                <button type="button" class="btn btn-primary ">&nbsp;&nbsp;<b>确定</b>&nbsp;&nbsp;</button>
			</form>
		</div>
	</div>
</div>
</body>
</html>


